Effective Date: November 8, 2024

Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights. This section explains those rights and some of our responsibilities to help you.

• Get an Electronic or Paper Copy of Your Medical Record
  

  You can ask to see or receive an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
  We will provide a copy or summary of your health information, usually within 30 days of your request. A reasonable, cost-based fee may apply.

• Ask Us to Correct Your Medical Record
  

  If you believe information we have about you is incorrect or incomplete, you can request corrections. We may deny your request, but we will inform you of our decision in writing within 60 days.

• Request Confidential Communications
  

  You can request that we contact you in a specific way (e.g., home or office phone) or send mail to a different address. We will agree to all reasonable requests.

• Ask Us to Limit What We Use or Share
  

  You may request that we not use or share certain health information for treatment, payment, or operations. While we are not required to comply with all requests, if you pay for a service or healthcare item out-of-pocket in full, we will honor requests not to share this information for payment or operations with your health insurer unless required by law.

• Get a List of Those with Whom We’ve Shared Information

  You can request an accounting of disclosures (excluding disclosures for treatment, payment, and operations or those authorized by you). We will provide one accounting per year for free and may charge for additional requests within 12 months.

• Get a Copy of This Privacy Notice
  

  You can request a paper copy of this notice at any time, even if you have previously agreed to receive it electronically.

• Choose Someone to Act for You
  

  If someone has medical power of attorney or is your legal guardian, that person can exercise your rights and make choices about your health information on your behalf.

• File a Complaint if You Feel Your Rights Are Violated
  

  You may file a complaint if you believe your rights have been violated. Contact us directly or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you have choices on what we share. If you have specific preferences for how we share your information, please let us know.

• You Have Both the Right and Choice to Tell Us to:
  
  • Share information with family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • Include your information in a hospital directory.
  • Contact you for fundraising efforts. If you prefer not to be contacted for fundraising, you may let us know, and we will respect your wishes.

Our Uses and Disclosures

We may use or share your health information in the following ways:

• Treat You
  

  We can use your health information and share it with other professionals involved in your care.

• Run Our Organization
  

  We can use your health information to improve our services, manage your treatment, and provide necessary follow-up.

• Bill for Your Services
  

  We can use and share your health information to process billing and receive payment from health plans or other entities.

Additional Uses and Disclosures Permitted by Law

We may also use or disclose your health information in the following ways, adhering to legal requirements:

• For Public Health and Safety
  

  We may share information to help prevent disease, assist with product recalls, report adverse reactions, and report abuse, neglect, or domestic violence.

• Research
  

  We may use or share information for health research purposes.

• Legal Compliance
  

  We will disclose information as required by law, including to the Department of Health and Human Services to demonstrate HIPAA compliance.

• Organ and Tissue Donation Requests
  

  We may share health information with organ procurement organizations.

• For Deceased Individuals
  

  Health information may be shared with medical examiners, coroners, or funeral directors as necessary.

• For Workers’ Compensation, Law Enforcement, and Government Requests
  

  Information may be disclosed for workers’ compensation, law enforcement, and other government functions such as national security.

• In Response to Legal Actions
  

  We may share information as required in response to court orders, subpoenas, or legal proceedings.

Our Responsibilities

• We are legally required to protect the privacy and security of your health information.
• In case of a data breach, we will notify you promptly if your information’s privacy or security is compromised.
• We will not use or disclose your information for reasons other than those listed without your written consent. You can withdraw consent at any time by notifying us in writing.

For further information, please visit www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to This Privacy Policy

We may update this privacy policy from time to time, and changes will apply to all information we hold. The updated policy will be available on our website, in our office, or by request.

Contact Us

If you have questions or would like to exercise any of your rights, please contact us:

Lake Hills Pharmacy
12005 Bee Cave RD, Suite 1-A, Austin, Texas - 78738
Attn:Compliance and Privacy Officer - Christina Gunter PharmD
support@lakehillsrx.com

Effective Date of This Privacy Notice: November 8, 2024

This Notice of Privacy Practices applies to Lake Hills Pharmacy and its affiliated entities.